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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BLUE RIDGE
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3286
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3600 - Recreational Health Program
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PR0360068
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COMPLIANCE INFO
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Last modified
7/1/2021 9:04:29 AM
Creation date
9/24/2020 8:32:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3600 - Recreational Health Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0360068
PE
3611
FACILITY_ID
FA0001896
FACILITY_NAME
LINCOLN VILLAGE PARK APARTMENT
STREET_NUMBER
3286
STREET_NAME
BLUE RIDGE
STREET_TYPE
CIR
City
STOCKTON
Zip
95219
APN
10014036
CURRENT_STATUS
01
SITE_LOCATION
3286 BLUE RIDGE CIR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SAN JOAQUIN COUh-Y <br />?a ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.org/ehd <br />94F OPS <br />-=PROGRAM VCJL <br />j^SQ JI�'- <br />PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility:^ //L4- <br />Date: I <br />�� <br />Address: 3 )l �' t - City: <br />JP <br />* � L <br />A <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: <br />Inspection Type: Mg <br />,ifA/82_0 <br />SB180 Posted ❑ Yes Q No Pecmit Posted ❑ Yes ❑ No <br />Re -Inspection on or After: <br />.m OBSERVATIONS AND CO <br />_t <br />LL1 <br />tJ E KL _ <br />2L iia W <br />C t ! <br />S/ CRJf'/I <br />iI <br />Item/Location TemperatureI Rem /Location -' Temperature <br />' Food Safety Certification ., Facility Hot Water Temperature _ i <br />Name: Hand Sink: 'F Chlorine: <br />Exp. Date: a e Shing SI 'F Quat. A <br />Item / ovation ""`L. <br />c• <br />Warewashin <br />ppm 11 Heat: <br />the • <br />PPrn ir <br />Temperature <br />- <br />`F <br />,F <br />ived By/ Title: ' <br />pecialist: <br />FH <br />Phon <br />In: a <br />Time Opt: <br />-vs,� <br />Page of / <br />EHD 16-24 (2n° pg) 11/2109 FOOD PROGRAM OR CONTINUATION <br />
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